0953NOTE:
With proper validation, ,j, .t ,•, _ ,,: ��
i' this -form constitutes an CITY OF L
• ' encroachment permit . - A QUINTA`
APPLICATION, FOR PERMIT `
• ,
_
'PUBLIC •WORKS'CONSTRUCTION (ENCROACHMENT)
For -the construction of public or -.private curbs,' driveways, pavements, sidewalks, -parking lots, sewers, water;.mains,
andyother,Iike. public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Imp'rovemerit Permit — Class III
DATE: December '7 . 1990 '. t, Minor Improvemerit Permit Class IV
LOCATION OF CONSTRUCTION;-- Monterey . and_ Nogales w/o• Bermudas_ `
(Street address or Description of Location)., 14
j PURPOSE OF CONSTRUCTION ='place 4 P1 nnnrlii i t. - frir.,Sketch (attach construction plans if appropriate)
GTE. 4 . `, GTr; ,WO. 543-31307-I
+ A :DESCRIPTION OF CONSTRUCTIONstreet .'crossings
• . , ' . "
ceferonce ,GTE permit 0830' ,
' '�' • - i
ALL -'CONDITIONS, -OF -PERMIT. 0930
DIMENSION OF INSTALLATION OR REMOVAL' SHALL, APPLY TO,,'THIS' PERMIT
. )' •, Y 'f + ,f Fes! ' � r t • T % • � � i.. . � ', • y,. f , . -r ..rS«r
' ALl;• 'WORK BETWEEN • BERMUDAS' ,AICD
• SIZE OF EXCAVATION; IF NEEDED - EI.SENHOWER DRIVE MUST BE _
OMPLETED :BETWEEN ISSUANCE' OF '
APPROXIMATE TIME WHEN WORK WILL BEGIN 12/18/90 OF THIS PERMIT ;AND_ December 13;19t9C
APPROXIMATE TIME OF COMPLETION
"ESTIMATED CONSTRUCTION COST.$ 19.040.00" Qig j $ p7-90 a'
..(Including.removal of all obstruction, materials, and debris, backfilling, com-_ i <.I '• $H' 1�IF��' 1 21a.•i;i?
action and.,placing ermanent resurfacin and%or re lacin im �rovements
►p 9 P 9: P 9 P q )
In. consideration of the -granting `of this permit, the applicant'hereby agrees'.to:"
' Indemnify, -defend and save the -City, its authorized'agents; officers, representatives and employees, harmless from and against anyrand all
,. penalties, liabilities or! loss,;resultin%g from.claims or court action'anci arising out' of any, accident, loss*or damage to 'persons or. property
hap
pening'or occurring as a`pro) imate result of any work undertaken•under the permit granted pursuant to this application. '
Noiify .the Administrative Authority 'at least twenty-four '(24) hours in advance of the 'time when work'`will be started.
*' Comply with all applicable City!Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the'City of.
La Quinta and,to pay for any additional'replaeement necessary 'as the result•of"this work. "`
Ilk
I
+r Signature of Applicant or�Agenf?
Martinson ,Underground .Inc. 1380 W:` 01iaander 'Ave ,Petki_'s QA -j14 -6-5-7-77'S9
.Name of Applicant (please print) Business Address w+ ' Telephone•N' .. ""•
Name of Contractorrand"Job Foreman' Business Address +}:`'' Telephone''No :-
601350 i ., i V, _t .
E .1'789
Contractor's License No.. r: , City Business License -No.
Austin,' -,Cooper & .Price;CCP 130529
r i t.
Applicant's Insurance Company. • < f ` :- , . Policy Number• r �_
.
*• FEES: Subdivision Improvement Permit —Class III . F 5 days @$40* ='$200.700 ..inspection.
Public jmp'rovements 3% of estimated constructiori'costs
- Private improvements: 3% of estimated constructi0 n7c05 31
sts
Minor'Improvemerit Permit —Class IV: See attached schedule
Inspection Fee , $w 200,.00. .'' Y �, PERMITVALIDATION
_ • ' 10.,-'0.0 � i
Permit Fee' 0953
PERMIT NO.'
. _Penalty DATE APPROVED' +12/7/9.0 ~
Cash Deposit -Surety :Bond
ifrequired . EXPIRATION'DATE", 6/31/91'
TOTAL: $
'DATE- 1 1 1-7 19 (1
Receipt No. f r f
By.. Jf[.C^ r
Received by Date Administrative Authority
Recorded by TELEPHONE: ,(619)564-2246' ,
,f'.''r"-'•Y`"',,{�y.3C•4•NaJ`"'S'sy:�w,•i�w''Lx.+Vi13r
_.«'r9F-.a�.rle+}eq!w�-olf-+9,kvr•.P�,::-'.+•+w +e.w .o�r•...� p... , L_w-ems r � - .�
- - � - _ , •'•. F (•-..i4 !!•. ,.w.M +4 W.!�-•!.`wA., M'Q�i✓- t! � -� �' M.. •'J. A- nM''�1..r� R„ T M. .w..,�.
NOTE:
With proper validation
this form constitutes an • Oj
CITY OF LA QUINTA ; `
encroachment permit • - $.
k,- - - APPLICATION 'FOR •PERMIT � F � • .
.' .PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) �A'- ' • - `'�" w
For, the construction of,. public or -private curbs, driveways, pavements; sidewalks, `parking, lots,} sewers, water mains "
and .other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
' .. .' ` y., :` .,.h .w,.g ,.f% it ,'',�r Y 4:'t t4'�tr ` ' t •s,, , , r.. k ,r - •: f,� ' `N -
Subdivision Improvement Permit' Class 111
DATE:" December 7, 1990 �- ', Minor Improvement Permit Class IV.
,1 LOCATION OF CONSTRUCTION Monterey and Nogales w/o Bermudas-,' •'. �+ ' ` ;
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION place 4." eondtz i t fnr . Sketch (attach construction plans if appropriate)
• GTE ti street. crossings G'd"EO';543-313fl7-I
,,- DESCRIPTION OF CONSTRUCTION ••� , '• < '' -
- _+eeference GTE Perinit • 0830 ' ALL CONDI-TIONS SOF' PERMIT 0,9,30
DIMENSION OF INSTALLATION OR REMOVAL- SHALL'APPLY' TO THIS '•PERMIT - f�
ALL' WORK BETWEEN BERMUDAS` AN6"
t SIZE OF EXCAVATION, IF NEEDED EISENHOWER ,DRIVE MUST' BE',
' COMPLETED FETWEEN • ISSUANCE .OF
y' APPROXIMATE TIME WHEN WORK WILL BEGIN. 12/l�/90 OF THIS :PERMIT 'AND December 13•1199C
' ;^, � :. � .' • . .��.,,�. _• . ,• - `;..
APPROXIMATE TIME OF COMPLETION` 12./14/90 -
19 '~
'ESTIMATED CONSTRUCTION'COST $ 040.60
r • • (�(��(}=�Q �4 "
' (Including - removal,of all obstruction, materials, and debris, backfilling, com- , 10, °` A HS S.'.T7(�CITA ;t 20.,00
paction and placing permanent resurfacing and/or replacing improvements)
In consideration of, the,granting�of this permit, the applicant hereby. agrees to:
Indemnify,.defendand save the City,. its authorized agents, officers, representatives and employees, harmless fro and against any and all, ,
penalties, liabilities or •loss resulting from claims or court action and arising out of any accident;.loss or damage•to persons or persons • i` P
happening or occurring'as a proximate result of any work undertaken under the permit granted pursuant to this application.
-Notify the Administrative Authority at,least twenty-four (24) hours in advance of the time when work will be started. '
Comply with all applicable City Ordinances, the terms'and conditions'of the permit and all applicable.rules and regulations of the,City of "-
La Quints and to pay for any additional replacement necessary as the result of this work. • " s" -
�; Signat a of Applicant or Agent ,
Martinson ,dndergkound 'Inc.- 1380 W. Oleander •Ave:. Perris, CA 714-657`'_7759
Name of Applicant (please print) Business Address Telephone'No..,"
'same. ,
Name of Contractor and Job Foreman Business Address Telephone No:.
601350 t 1789•
!-
Contractor's License No. City Business License No.
,Austin, .Cooper & Price t CCP ,130529._ -_
Y _
y Applicant's,lnsurance Company Policy Number
t` "r
FEES: Subdivision Improvement Permit — Class III 5 daY$ @$40 = $200.00 lnsriectlOn'
Public improvements: 3% of estimated construction costs
e•.
y.�'. Private improve ments:.3% of estimated construction costs 0 9.
'`'i
,Minor Improvement Permit —.Class IV:.See attached schedule
Inspection Fee' $ ?00.'0 0
PERMIT,VALIDATION
10-00
Permit Fee `, t ' :0 �'. S 3 r` ,
'PERMIT NO. ✓
Penalty r DATE APPROVED ` 12 /3 r i
Cash Deposit -Surety Bond
if required EXPIRATION DATE -
TOTAL:$ 210.00_Y 12/7/9fl� - •
DATE ISSUED
Receipt No.
By r -
Received by Date : Administrative Authority
Recorded by TELEPHONE: (619) 564-2246